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Shoulder, Elbow or Forearm Procedures (without CC/MCC)

Idaho rates for MS-DRG 512

Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures without CC/MCC

Rates data updated October 2026.

How much does Shoulder, Elbow or Forearm Procedures (without CC/MCC) cost?

$23,988

Typical facility fee. In Idaho, October 2026.

Insurers have agreed to pay about $23,988 for this service. Most negotiated rates run $17,378 to $28,184.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $23,988 · 10th to 90th $14,125 to $35,481
$10K$20K$50Kfacility $23,988

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$14,454.40
Median
$14,454.40
Typical High
$25,703.96
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$11,748.98
Median
$19,054.61
Typical High
$35,481.34
Cigna
Setting
Facility
Modifier
None
Typical Low
$39,810.72
Median
$43,651.58
Typical High
$54,954.09
Moda Health
Setting
Facility
Modifier
None
Typical Low
$13,489.63
Median
$26,302.68
Typical High
$32,359.37
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$15,488.17
Median
$23,442.29
Typical High
$36,307.81
Select Health
Setting
Facility
Modifier
None
Typical Low
$16,982.44
Median
$21,379.62
Typical High
$33,884.42
United
Setting
Facility
Modifier
None
Typical Low
$16,982.44
Median
$23,442.29
Typical High
$32,359.37

Where Idaho sits

The same service costs 162.2 times more in Alaska than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Idaho· 30th of 51

$23,988

AK $44,668HI $275

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.